Provider Demographics
NPI:1578534939
Name:MCCORMICK, ALVIN L (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:L
Last Name:MCCORMICK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5301 E HURON RIVER DR
Mailing Address - Street 2:MC 69504
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1051
Mailing Address - Country:US
Mailing Address - Phone:734-827-8883
Mailing Address - Fax:734-827-8915
Practice Address - Street 1:5301 E HURON RIVER DRIVE
Practice Address - Street 2:MC 69504
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-827-8883
Practice Address - Fax:734-827-8915
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2009-04-01
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Provider Licenses
StateLicense IDTaxonomies
MI4301054525207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine